Organization · Type 2 NPI

Wellspring

Mental Health Counselor · Springfield, OH

NPI number 1003851411 Active

Practice location

101 N Fountain Ave
Springfield, OH 45502-1118

Call (937) 325-5564 Map

Fax (937) 325-5564

Other practice locations

906 Scioto St, Urbana, OH 43078-2226 · (937) 325-5564

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	0284 (OH)
Mental Health Counselor Primary	101YM0800X	0284 (OH)
Clinical Social Worker	1041C0700X	None listed
Marriage & Family Therapist	106H00000X	0284 (OH)

Mental Health Counselor: Definition to come...

2 other providers at this address

SDX Home Care Operations, LLCIn Home Supportive Care Agency Springfield, OH NPI 1174172993
Skylor Ramon Williams, M.S., LPCProfessional Counselor Springfield, OH NPI 1144505645

Other mental health counselor providers in Springfield

See all in Springfield →

NPI record

NPI: 1003851411
Entity type: Organization (Type 2)
Issued: Jun 19, 2006
Last updated: Dec 16, 2024
Status: Active

Other names

<unavail>
Family Service Agency · former legal business name
Family Service Agency · former legal business name

Authorized official

Tiffany Nelson
Office Manager
(937) 325-5564

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003851411

Wellspring's National Provider Identifier is 1003851411, issued on Jun 19, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, OH. The record was last updated on Dec 16, 2024.